-------- ----------, _Officer in Charge_.



F.


CERTIFICATE THAT MUST BE HELD BY PARTY DESIRING TO OCCUPY OR ENTER UPON
THE LANDS OPENED TO SETTLEMENT BY THE PRESIDENT'S PROCLAMATION OF AUGUST
19, 1893, FOR THE PURPOSE OF SETTLING UPON A TOWN LOT.

No. ----.

BOOTH IN T. ----N., R. ----,----, _1893_.

This certifies that ---- has this day made the declaration before me
required by the President's proclamation of August 19, 1893, and he is
therefore permitted to go in upon the lands opened to settlement by said
proclamation at the time named therein for the purpose of settling upon
a town lot.

-------- ----------, _Officer in Charge_.


This certificate is not transferable. The holder will display the
certificate, if demanded, after locating on claim.



4-102d.